{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T06:40:35Z","timestamp":1759992035720,"version":"3.41.2"},"reference-count":31,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T00:00:00Z","timestamp":1747094400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000582","name":"Carnegie Trust for the Universities of Scotland","doi-asserted-by":"publisher","award":["VAC013483"],"award-info":[{"award-number":["VAC013483"]}],"id":[{"id":"10.13039\/501100000582","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Foot and Ankle Research"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The term \u2018in\u2010remission\u2019 has been historically associated with the disease status in cancer. In diabetes foot care, the term was introduced into risk stratification systems in order to support patient communication and healthcare prevention strategies post\u2010ulceration. However, despite the inclusion of an \u2018in\u2010remission\u2019 category into risk stratification systems, the adoption and perception of the terminology in clinical practice remains unknown. The aim of this study is to explore patient and clinician perceptions of the term \u2018in\u2010remission\u2019 in the context of diabetes foot disease management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Semi\u2010structured focus groups or interviews were conducted to identify the perceptions and impact of the term \u2018in\u2010remission\u2019 on end users. Participants included patients classified as \u2018in\u2010remission\u2019 as well as podiatrists who routinely work with people who have diabetes. Recruitment occurred via social media adverts, posters and snowball sampling. All focus groups and interviews were recorded and transcribed verbatim. Data were analysed for themes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study included <jats:italic>n<\/jats:italic>\u00a0=\u00a09 people with diabetes classified as in\u2010remission and <jats:italic>n<\/jats:italic>\u00a0=\u00a012 podiatrists. One online focus group was held with <jats:italic>n<\/jats:italic>\u00a0=\u00a05 podiatrists, whereas individual telephone interviews were conducted with the remaining <jats:italic>n<\/jats:italic>\u00a0=\u00a07 podiatrists and all <jats:italic>n<\/jats:italic>\u00a0=\u00a09 participants with diabetes. Three overarching themes were identified with several sub\u2010themes in each group. Perceptions and implementation of the term \u2018in\u2010remission\u2019 were highly variable whereby podiatrists tend to avoid using the term directly with patients and instead focus on patient education and held mixed views of the impact on patients. People with diabetes were largely unaware of their \u2018in\u2010remission\u2019 status and had varied opinions on what \u2018in\u2010remission\u2019 means and how it may impact on foot care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Awareness and implementation of the term \u2018in\u2010remission\u2019 into podiatry practice are inconsistent. Despite the intention of the term to increase patient awareness and access to services, themes were identified regarding applicability and suitability resulting in avoidance by clinicians and confusion and fear from people with diabetes. These findings suggest that the term is not having the intended effect and further work is required to more fully explore the adoption of this terminology.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jfa2.70045","type":"journal-article","created":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T12:55:44Z","timestamp":1748350544000},"source":"Crossref","is-referenced-by-count":2,"title":["Exploring Patient and Podiatrist Perspectives of the \u2018In\u2010Remission\u2019 Status in Diabetes\u2010Related Foot Disease"],"prefix":"10.1002","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-4540-1301","authenticated-orcid":false,"given":"Gordon","family":"Donaldson","sequence":"first","affiliation":[{"name":"Department of Podiatry and Radiography School of Health and Life Sciences Glasgow Caledonian University  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1611-7193","authenticated-orcid":false,"given":"Gordon","family":"Hendry","sequence":"additional","affiliation":[{"name":"Department of Podiatry and Radiography School of Health and Life Sciences Glasgow Caledonian University  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3274-2028","authenticated-orcid":false,"given":"Ruth","family":"Barn","sequence":"additional","affiliation":[{"name":"Department of Podiatry and Radiography School of Health and Life Sciences Glasgow Caledonian University  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,5,13]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/07853890.2016.1231932"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1615439"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.13680"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc19\u20101614"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2014.04.011"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742\u2010481X.2007.00392.x"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13047\u2010020\u201000383\u20102"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.7547\/1030161"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/nuf.12558"},{"key":"e_1_2_12_11_1","unstructured":"National Cancer Institute2024. \u201cUnderstanding Cancer Prognosis [Internet] \u201d [cited 2025 Jan 30] https:\/\/www.cancer.gov\/about\u2010cancer\/diagnosis\u2010staging\/prognosis."},{"issue":"04","key":"e_1_2_12_12_1","first-page":"182","article-title":"The Scottish Diabetes Foot Action Group 2016 Update of the Diabetic Foot Risk Stratification and Triage System","volume":"19","author":"Stang D.","year":"2016","journal-title":"Diabetic Foot Journal"},{"key":"e_1_2_12_13_1","unstructured":"Royal College of Podiatry \u201cLooking After Your Foot in Remission to Reduce the Risk of Further Ulcers and Amputation [Internet] \u201d (2024) [cited 2025 Feb 07] https:\/\/rcpod.org.uk\/patient\u2010information\/diabetes\/diabetes\u2010leaflets\/looking\u2010after\u2010your\u2010foot\u2010in\u2010remission\u2010to\u2010reduce\u2010the\u2010risk\u2010of\u2010further\u2010ulcers\u2010and\u2010amputation."},{"key":"e_1_2_12_14_1","unstructured":"U. 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